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DepEd Form 137-E

Republic of the Philippines


Department of Education
Region IX, Zamboanga Peninsula
ZAMBOANGA DEL SUR
Division
ELEMENTARY SCHOOL PERMANENT RECORD
( PALAGIANG TALAAN SA MABABANG PAARALAN )
Name :__________________________________School:_________________________________Age: ______ LRN:____________
(Pangalan) ( Family Name) (First Name) (M.I.) (Paaralan) (Edad)
Sex: ______Date of Birth: _________________Place of Birth: ___________________________Date of Entrance:_____________
(Kasarian) (Petsang Kapanganakan) (Lugar ng Kapanganakan) (Petsang Pagpasok)
Parents/Guardian: ____________________________ ___________________________________ _________________________
(Magulang/Tagapangalaga) Name Address Occupation
ELEMENTARY SCHOOL PROGRESS
( PAG-UNLAD SA MABABANG PAARALAN)

Grade One Grade Two


School:_______________________ School Year:________ School:___________________________School Year:_______
Periodic Rating Final Periodic Rating Final
Learning Areas 1 2 3 4 Rating Learning Areas 1 2 3 4 Rating
MOTHER TONGUE MOTHER TONGUE
FILIPINO FILIPINO
ENGLISH ENGLISH
MATHEMATICS MATHEMATICS
ARALING PANLIPUNAN ARALING PANLIPUNAN
MAPEH MAPEH
*MUSIC *MUSIC
*ART *ART
*PHYSICAL EDUCATION *PHYSICAL EDUCATION
*HEALTH *HEALTH
EDUKASYON SA PAGPAPAKATAO EDUKASYON SA PAGPAPAKATAO
GENERAL RATING GENERAL RATING

Eligible for Admission to Grade _____________ Eligible for Admission to Grade __________
Grade Three Grade Four
School:____________________________School Year:__________ School:___________________________School Year:___________
Periodic Rating Final Periodic Rating Final
Learning Areas 1 2 3 4 Rating Learning Areas 1 2 3 4 Rating
MOTHER TONGUE FILIPINO
FILIPINO ENGLISH
ENGLISH SCIENCE
SCIENCE MATHEMATICS
MATHEMATICS ARALING PANLIPUNAN
ARALING PANLIPUNAN EPP
MAPEH MAPEH
*MUSIC *MUSIC
*ART *ART
*PHYSICAL EDUCATION *PHYSICAL EDUCATION
*HEALTH *HEALTH
EDUKASYON SA PAGPAPAKATAO EDUKASYON SA PAGPAPAKATAO

GENERAL RATING GENERAL RATING

Eligible for Admission to Grade_____________ Eligible for Admission to Grade _____________

Grade Five Grade Six


School:________________________School Year:_________ School:_______________________School Year:________
Periodic Rating Final Periodic Rating Final
Learning Areas 1 2 3 4 Rating Learning Areas 1 2 3 4 Rating
FILIPINO FILIPINO
ENGLISH ENGLISH
SCIENCE SCIENCE
MATHEMATICS MATHEMATICS
ARALING PANLIPUNAN ARALING PANLIPUNAN
EPP EPP
MAPEH MAPEH
*MUSIC *MUSIC
*ART *ART
*PHYSICAL EDUCATION >PHYSICAL EDUCATION
*HEALTH *HEALTH
EDUKASYON SA PAGPAPAKATAO EDUKASYON SA PAGPAPAKATAO
GENERAL RATING GENERAL RATING

Eligible for Admission to Grade ______________ Eligible for Admission to Grade ______________
CHARACTER BUILDING

Gr._____ Sch. Yr.______ Gr.______ Sch. Yr.______ Gr.______ Sch. Yr.______


1 2 3 4 1 2 3 4 1 2 3 4
1.Honesty
2.Courtesy
3.Helpfulness & Cooperation
4.Resourcefulness & Creativeness
5.Consideration for others
6.Sportmanship
7.Obedience
8.Self-Reliance
9.Industry
10.Cleanliness & Orderliness

Gr._____ Sch. Yr.______ Gr._______ Sch. Yr. _____ Gr.______ Sch. Yr. ______
1 2 3 4 1 2 3 4 1 2 3 4
1.Honesty
2.Courtesy
3.Helpfulness & Cooperation
4.Resourcefulness & Creativeness
5.Consideration for others
6.Sportmanship
7.Obedience
8.Self-Reliance
9.Industry
10.Cleanliness & Orderliness

A – Very Good C – Fair


B – Good D – Poor

ATTENDANCE RECORD

Grade No. of School Days No. of School Days No. of School Days No. of Times Tardy
Present Absent

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

This is to certify that this is a true copy of the Elementary School Permanent Record of
__________________________________________________________.He/She is eligible for transfer and admission to
Grade/Year________________________________________________.

__________________________________
Signature
___________________________________ __________________________________
Date Designation

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